National Provider Identifier

Kimberly E McDermott, AU.D.

Kimberly E McDermott, AU.D. is listed in the NPPES registry with a primary specialty of Specialist in Rochester, NY and a listed phone number of (585) 225-1100.

NPI 1982643029Rochester, NYSpecialist

Profile Overview

NPI
1982643029
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
June 05, 2006
Last Updated
August 21, 2007

Practice Location

  • 1100 Long Pond RD
  • Suite 251
  • Rochester, NY 14626-1177

Phone: (585) 225-1100

Specialties

  • Specialist (174400000X)
  • Specialist (174400000X)
Full Record
NPI
1982643029
Entity Type
Individual
Last Name
McDermott
First Name
Kimberly
Middle Name
E
Name Prefix
Dr.
Credential
AU.D.
Provider Other Last Name
Sharp
Provider Other First Name
Kimberly
Provider Other Middle Name
E
Provider Other Name Prefix Text
Dr.
Provider Other Credential Text
AU.D.
Provider Other Last Name Type Code
1
Mailing Street Address
1100 Long Pond RD
Mailing Address Line 2
Suite 251
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14626-1177
Mailing Country
US
Mailing Phone
(585) 225-1100
Mailing Fax
(585) 225-1112
Practice Street Address
1100 Long Pond RD
Practice Address Line 2
Suite 251
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14626-1177
Practice Country
US
Practice Phone
(585) 225-1100
Practice Fax
(585) 225-1112
Enumeration Date
June 05, 2006
Last Updated
August 21, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X), Specialist (174400000X)
Other Identifiers
7102000NY14626 (NY, Bc/Bs Of Michigan), 161406A1 (NY, Preferred Care)